4 results
10/Feb/2025
DOI: 10.31744/einstein_journal/2025RC1044
ABSTRACT Food allergies are the leading cause of anaphylaxis in children. Cofactors, such as exercise and non-steroidal anti-inflammatory drugs, may influence the occurrence and severity of allergic reactions to food. However, despite their relevance, the underlying mechanisms of cofactor-enhanced food allergies remain poorly understood. We report the case of a 12-year-old girl with mitochondrial DNA depletion syndrome who was referred to an allergy appointment due to suspected ibuprofen hypersensitivity. Detailed anamnesis, laboratory assessment, and negative drug challenge results excluded this […]
Keywords: Anaphylaxis; Anti-inflammatory agents, non-steroidal; Child; Cofactor; Food allergy; Food hypersensitivity; Ibuprofen; Soy proteins
21/Oct/2024
DOI: 10.31744/einstein_journal/2024RW0775
ABSTRACT Circulatory shock is a common fatal condition. Despite this, information on this syndrome in the current medical literature is fragmented and esoteric. Adherence to each basic element of care can have a profound impact on patient outcomes. Disturbances in pumping (cardiogenic), content/container relationship (hypovolemic and vasoplegic), or blockage in blood circulation (obstructive) can induce tissue hypoperfusion, causing hemodynamic shock. If not quickly reversed, hypoperfusion progresses to irreversible multi-organ failure. The course can be fatal even before reaching this stage […]
Keywords: Adrenal insufficiency; Anaphylaxis; Cardiac output; Cardiac tamponade; Fluid therapy; Hemodynamic monitoring; Hemodynamics; Intensive care units; Pulmonary embolism; Shock; Shock, cardiogenic; Shock, hemorrhagic; Shock, septic
19/Nov/2020
DOI: 10.31744/einstein_journal/2020RC5478
ABSTRACT A 33-year-old male with house dust mite allergic rhinitis and asthma reported an episode of facial and lip angioedema, dyspnea, cough and dysphagia at the age of 25, minutes after eating a mushroom ( Agaricus bisporus ) pizza. He denied any drug intake, hymenoptera stings or other possible triggers, and no identifiable cofactors were present. Since then he avoided all types of mushrooms, however an accidental contact occurred with mushroom sauce that resulted in angioedema of the lip within […]
Keywords: Agaricales; Anaphylaxis; Immunoblotting
29/Oct/2012
DOI: 10.1590/S1679-45082012000300021
Fluorescein is associated with minor adverse effects during retinal angiography, and most of these effects are not severe and not related to immunological mechanism. However, on rare occasions, anaphylatoid reaction can occur, and fatalities involving fluorescein have been described. Life threatening complications after intravenous injection of sodium fluorescein require immediate intervention. Trainings for professionals are needed to standardize treatment for this event.
Keywords: Anaphylaxis; Case reports; Fluorescein angiography; Fluoresceins; Injections, intravenous; Retinal diseases; Seizures